Provider Demographics
NPI:1104022284
Name:GOMES, NATALIE KATE (MA, LCMHCS, LCAS)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:KATE
Last Name:GOMES
Suffix:
Gender:F
Credentials:MA, LCMHCS, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PONDEROSA DRIVE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28716-6502
Mailing Address - Country:US
Mailing Address - Phone:910-216-0192
Mailing Address - Fax:833-494-4996
Practice Address - Street 1:70 WOODFIN PLACE, SUITE 102
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:910-216-0194
Practice Address - Fax:833-494-4996
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2023-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7507101Y00000X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional